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Finally Accepted!!! Need Advice.

SRNA   (3,777 Views 27 Comments)

Future1Intub8er1995 has 1 years experience .

1 Like; 1,860 Visitors; 75 Posts

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Future1Intub8er1995 has 1 years experience.

1 Like; 1,860 Visitors; 75 Posts

NYNurse89,

I don't understand this post. It seems to me this person is looking for legitimate advice. If a person was accepted, obviously they meet the stringent requirements for anesthesia school and don't deserve these snide comments that contribute nothing to the advice he/she was asking for. I agree with the rest of these posters (except NYNurse89 of course), stay humble and soak up all the experience you can. I have been exposed to a number of programs and can think of none that let you just come in and intubate, only to leave 2 minutes later.

Yeah honestly I'm not interested in coming in and just intubating and leaving! I did enough of that as an RRT, trust me I saved the day MANY of times in CICV situations. #BullardLaryngoscope. I am excited to be the captain of the ship and really make all the important descision and learn how to do regional anesthesiology.

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anrchope has 1 years experience.

1,196 Visitors; 23 Posts

It's disheartening to see you talking about your classmates like this. I'd strongly suggest you adopt some humility.

The old saying "you don't know what you don't" couldn't be more relevant here. You won't get any of the cases you crave if you aren't a team play and respect those around you.

Good Luck!

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ThePsychWhisperer works as a Psychiatric-Mental Health Nurse Practitioner.

6 Likes; 4,749 Visitors; 249 Posts

Yeah honestly I'm not interested in coming in and just intubating and leaving! I did enough of that as an RRT, trust me I saved the day MANY of times in CICV situations. #BullardLaryngoscope. I am excited to be the captain of the ship and really make all the important descision and learn how to do regional anesthesiology.

Unless you plan to be an anesthesiologist, don't ever plan to be captain of the ship. I'm also going to go out on a limb and say that you as part of a team saved the day many times, and without all those doctors and nurses backing you up, outcomes may not have been so positive. I agree with others when they say concentrate on learning and growing with your classmates; you may need them someday, and no one likes to work with someone whose main objective is to show up another person. Intelligence, compassion, humility, plus several other traits are what combine to make a great provider. The worst trait in a provider? One that doesn't know what s/he doesn't know.

#PrideComethBeforeAFall

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6 Likes; 1 Follower; 12,584 Visitors; 678 Posts

As a CRNA in my practice I am no less the 'captain of the ship' than an anesthesiologist. I am the expert in anesthesia in the room and am responsible for all aspects of the anesthetic. No one else is-I can't give that responsibility away. I am part of the team, just as I would be if I was an anesthetiologist.

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PaSSiNGaS has 10 years experience and works as a CRNA.

15 Likes; 2 Followers; 4,274 Visitors; 200 Posts

Sorry but this post just shows the ignorance of many people. CRNAs can and do practice independently of MDAs all over the country so not sure where you're getting your information but you are greatly mistaken. This doesn't mean you can't be humble enough to ask for help when you need it but I am considered the "captain of the ship" anytime sh&* hits the fan in my OR and I am a CRNA. I am the one the surgeon and everyone else in the room looks to lead the code or the trauma coming in if bad stuff happens. Do I ask for help? Sure I do but again CRNAs are capable and do practice independently of an anesthesiologist. I would recommend looking into our profession a lot more before spewing this nonsense and degrading this career.

Unless you plan to be an anesthesiologist, don't ever plan to be captain of the ship. I'm also going to go out on a limb and say that you as part of a team saved the day many times, and without all those doctors and nurses backing you up, outcomes may not have been so positive. I agree with others when they say concentrate on learning and growing with your classmates; you may need them someday, and no one likes to work with someone whose main objective is to show up another person. Intelligence, compassion, humility, plus several other traits are what combine to make a great provider. The worst trait in a provider? One that doesn't know what s/he doesn't know.

#PrideComethBeforeAFall

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m1lkofamnesia has 2 years experience and works as a SRNA.

1 Like; 6,034 Visitors; 238 Posts

Unless you plan to be an anesthesiologist, don't ever plan to be captain of the ship.

You do realize that there are many hospitals throughout the country where CRNAs are the ONLY anesthesia providers, don't you?...

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ThePsychWhisperer works as a Psychiatric-Mental Health Nurse Practitioner.

6 Likes; 4,749 Visitors; 249 Posts

Sorry but this post just shows the ignorance of many people. CRNAs can and do practice independently of MDAs all over the country so not sure where you're getting your information but you are greatly mistaken. This doesn't mean you can't be humble enough to ask for help when you need it but I am considered the "captain of the ship" anytime sh&* hits the fan in my OR and I am a CRNA. I am the one the surgeon and everyone else in the room looks to lead the code or the trauma coming in if bad stuff happens. Do I ask for help? Sure I do but again CRNAs are capable and do practice independently of an anesthesiologist. I would recommend looking into our profession a lot more before spewing this nonsense and degrading this career.

Not sure I would say that I was degrading the profession of the nurse anesthetist. Also, my comment was more angled towards the OP learning to work as part of a team, and to not be so focused on being the brightest star in the sky and alienating others (which also happens if you start throwing around terms like "ignorant" and phrases like "spewing nonsense"). I believe I also pointed out in that post that humility was not one of the OPs strong points, and it worries me to think that s/he may not know what s/he doesn't know, and will not ask for help when needed. I, in fact, am not ignorant of the fact that many CRNAs in certain areas of the country practice independently. However, I will say that this is one of the few areas where I believe NPs should have mandatory physician supervision. Just my $.02.

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6 Likes; 1 Follower; 12,584 Visitors; 678 Posts

Not sure I would say that I was degrading the profession of the nurse anesthetist....However, I will say that this is one of the few areas where I believe NPs should have mandatory physician supervision. Just my $.02.

Well, I think you are degrading my profession. There is no basis for the assertion that CRNAs should have physician supervision-none whatsoever.

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ThePsychWhisperer works as a Psychiatric-Mental Health Nurse Practitioner.

6 Likes; 4,749 Visitors; 249 Posts

Well, I think you are degrading my profession. There is no basis for the assertion that CRNAs should have physician supervision-none whatsoever.

It's simply an opinion. I'm entitled to one, just like you are. FWIW, psychiatry is also one where I believe it should be mandatory (at least to a point) to have physician supervision. But again, I wasn't degrading your profession. Let's just agree to disagree on that point.

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ProgressiveThinking has 7 years experience and works as a SRNA.

10 Likes; 12,428 Visitors; 352 Posts

It's simply an opinion. I'm entitled to one, just like you are. FWIW, psychiatry is also one where I believe it should be mandatory (at least to a point) to have physician supervision. But again, I wasn't degrading your profession. Let's just agree to disagree on that point.

Have you worked in anesthesia with MDAs and CRNAs before? What exactly leads you to believe that CRNAs require medical supervision? Not being hostile, just genuinely curious about how you came to this conclusion is all...

FWIW even a lot of MDAs don't think CRNAs need supervision for the majority of bread and butter cases.

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6 Likes; 1 Follower; 12,584 Visitors; 678 Posts

It's simply an opinion. I'm entitled to one, just like you are. FWIW, psychiatry is also one where I believe it should be mandatory (at least to a point) to have physician supervision. But again, I wasn't degrading your profession. Let's just agree to disagree on that point.[/quote

Yes, we'll have to disagree.

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ThePsychWhisperer works as a Psychiatric-Mental Health Nurse Practitioner.

6 Likes; 4,749 Visitors; 249 Posts

Have you worked in anesthesia with MDAs and CRNAs before? What exactly leads you to believe that CRNAs require medical supervision? Not being hostile, just genuinely curious about how you came to this conclusion is all...

FWIW even a lot of MDAs don't think CRNAs need supervision for the majority of bread and butter cases.

To clarify, I've seen very well trained advanced practice nurses out perform quite a few physicians in certain scenarios. it's more from a liability standpoint than anything remotely related to nurse anesthetists (and psychiatric nurse practitioners, for that matter) not being intelligent enough to do the job solo. It should be mandatory for certain advanced practice arenas (CRNAs and PMHNPs) to have mandatory supervision (and maybe there's a better term for this in this particular instance. Help me out here if there is) to make sure we have something to fall back on in case sh*t hits the fan. Again, just my opinion.

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